go back

Wisconsin rates for HCPCS 15273

App Skn Subgrft T/A/L Area/100sq Cm 1st 100sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.99 / $617.47 / $3,180.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.99 / $259.83 / $496.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $6,787.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.39 / $580.60 / $1,189.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.60 / $941.41 / $1,444.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.47 / $432.34 / $842.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.75 / $351.27 / $823.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.61 / $514.65 / $10,843.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $573.35 / $3,405.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.66 / $328.86 / $758.14
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.75 / $351.27 / $823.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.40 / $650.91 / $986.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.53 / $483.18 / $898.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.66 / $793.98 / $3,837.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.61 / $803.24 / $1,305.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.76 / $511.37 / $1,139.71